Provider Demographics
NPI:1467427757
Name:LOVELESS, HOWARD WILLIAM (MD)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:WILLIAM
Last Name:LOVELESS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 896206
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28289-6206
Mailing Address - Country:US
Mailing Address - Phone:252-638-2515
Mailing Address - Fax:252-638-8538
Practice Address - Street 1:3110 WELLONS BLVD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-5247
Practice Address - Country:US
Practice Address - Phone:252-638-2515
Practice Address - Fax:252-638-8538
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2015-00131207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3720181Medicaid
KY7100012790Medicaid
TN3823297Medicaid
TN3823297Medicaid
TN3700592Medicare PIN
TN103I086169Medicare UPIN
TN3720181Medicaid
KY7100012790Medicaid
TN0281780003Medicare PIN